New York Substance Use at a Glance
According to the New York State Office of Alcoholism and Substance Abuse Services (OASAS), more than 1.9 million New Yorkers statewide struggle with a substance use disorder.1 This number accounts for 1.77 million adults and 156,000 younger New Yorkers in the age range of 12-17.1
Let’s take a look at how substance use has affected New York state. Here are the statistics:2
In 2019, opioids were attributed to 83% of all overdose-related deaths.
In the state of New York, fentanyl was present in 68% of all fatal overdoses.
Depressants and opioids are present in 51% of New York State’s overdoses.
Latinos in New York had the highest rate of overdose-related incidents.
As a direct consequence of substance use, more people die yearly compared to the number of people involved in fatal motor vehicle accidents and incidents with firearms in New York.2 For example, there were 2,991 opioid-related deaths in the state in 2018, and excessive alcohol use contributes to over 4,000 deaths annually.3
The Cost of Drug and Alcohol Rehab in New York
The cost of drug and alcohol rehab in New York will vary significantly depending on the type of program as well as the following factors:
- The treatment type (inpatient, outpatient, dual diagnosis, etc.)
- The type of facility (luxury, hospital, basic accommodations, etc.)
- The length of the treatment program (30 days vs. 90 days or longer)
- Which insurance providers and plans the facility accepts
- Whether government funding is involved
- The facility’s location (upstate vs. the city)
Regarding inpatient vs. outpatient care, you can expect to pay more for a residential stay for drug or alcohol rehab in New York simply because the expenses include room and board. Surprisingly, you may find that alcohol and drug rehabs in New York are often more expensive upstate. This is primarily because it’s more costly to live upstate, but many find that getting as far away from the city and other metropolitan areas is more conducive to their needs.
Fortunately, insurance can help mitigate the costs as most plans provide at least partial coverage, if not full coverage. Of course, you would have to find an in-network rehab facility associated with your insurance provider, which is true whether it’s private or comes from Medicaid. To determine which facilities work with your provider, all you have to do is reach out to your insurance provider or check their website.
If you do not have insurance, you’ll need to find state-funded programs offering low-cost or free treatment. Some rehabs may also offer payment plans based on your financial situation.
Payment Options for Alcohol and Drug Rehab in New York
The state of New York is home to over 12,178 treatment facilities. 4 Whether you have insurance or not, you shouldn’t have a problem finding affordable treatment in the city, upstate, or elsewhere.
Out of all the New York drug rehabs, including the various outpatient programs available, here is what you can expect to find in terms of payment options:4
When choosing the most suitable drug or alcohol rehab in New York, it’s a good idea to make a list of treatment facilities to call. That way, you can ask about their current payment options and whether or not they can meet you halfway with your financial situation if you don’t have insurance.
Finding Affordable New York Rehabs
There are plenty of low-cost and free treatment options throughout the entire state of New York. Most of these facilities can offset costs thanks to government funding. However, they require that all incoming patients verify their legal residence within the New York and the U.S. They’ll also likely need to verify the legitimacy of your substance dependence as well as proof of income and lack of insurance coverage.
Aside from entering into a state-funded facility, there are a few other ways to make treatment more attainable for yourself or someone you care about. This includes the following:
- Looking for a facility that offers sliding scale payments or special financing based on your financial situation
- Applying for rehab scholarships or grants provided by the Substance Abuse and Mental Health Services Administration (SAMHSA)
- Creating a GoFundMe or raising money using another crowdfunding site
Rehabs in New York: What Can You Expect?
If you’re thinking about entering a drug or alcohol rehab in New York for the first time, you probably aren’t sure what to expect from your future treatment program. It’s completely normal to have confusion or uncertainty regarding the process, especially since no two New York drug rehabs work identically.
For example, depending on the location of the facility you choose, outdoor activities involving nature and wellness may also be a part of the program. If you opt for an outpatient treatment program, things will look a bit different.
Here’s what you can generally expect from most New York drug and alcohol rehab programs.
Medical Detox Treatment
Over time, chronic substance use can lead to physiological dependence. When this happens, the brain and body not only adjust to functioning under the influence of a specific substance, but they begin to need said substance to function normally.
If you suddenly stop using the substance you’re dependent on, it causes withdrawal symptoms that can become incredibly painful and even potentially fatal. Withdrawal symptoms will vary depending on the following:
- The type of substance or substances you’re dependent upon
- How long you’ve been using the substance or substances in question
- The amount of each substance you typically use
- Your unique physiological makeup
- Both your physical and mental health
- The method of substance use, i.e., injecting, snorting, smoking, etc.
In some instances, withdrawal can be life-threatening—especially if you’re withdrawing from barbiturates, benzodiazepines, or alcohol. While opioid withdrawal is known to be extremely intense, it’s not necessarily dangerous or fatal. Either way, many treatment facilities opt for medical detoxes over the cold turkey method because of the pain and distress of withdrawal.
Medical detox involves round-the-clock care and supervision, and usually medication to ease the pain as your body rids itself of toxic substances. Substances such as cocaine, methamphetamine, MDMA, PCP, and even Adderall often require professional detox services as they are often associated with co-occurring mental health disorders like depression and suicidal tendencies.
Generally speaking, detox programs will include several medical treatments to ensure you achieve a medically, physically, and emotionally stable state that’s also 100% substance-free. This would include the following:
- FDA-approved medications specifically created for withdrawal
- Symptomatic medications to help with headaches, congestion, constipation, diarrhea, etc.
- Supportive care, including IV fluids to maintain hydration and replenish essential vitamins, minerals, and electrolytes
- Medical and psychological case management
The detox process can last anywhere from a few days to a couple weeks, depending on the substance or substances you’re using and whether you’re receiving detox medications or not. It is usually the first step of treatment required for most New York drug rehab programs.
Outpatient treatment in New York is a great option if you need to continue working, attending school, or fulfilling other obligations at home. You may be required to disclose to your job or school that you’re undergoing outpatient treatment, depending on your case. Regardless, you may want to discuss what you’re going through so that your professors or boss can accommodate you to help you with your recovery.
The outpatient treatment options in New York include:
Partial hospitalization programs (PHPs): PHPs involve several hours of treatment per day, usually every day. This makes them the most intensive type of outpatient program. Sometimes they serve as a step-down option for people who recently completed an inpatient drug rehab.
outpatient programs (IOPs): IOPs require several hours of therapy per day as well, but only for up to five days per week.
outpatient treatment:Standard outpatient care only requires a few hours of therapy two times per week. It also typically requires group meetings.
If you choose to enter into a New York outpatient rehab program, you may want to find other forms of support, such as a 12-step program from Narcotics Anonymous (NA) or Alcoholics Anonymous (AA), or both. You can also find a non-12-step program like SMART recovery. Keep in mind that while peer support groups cannot substitute for proper treatment, they’re still incredibly important as they offer a foundation of support through others who are going through similar circumstances. Therefore, they can offer guidance, understanding, and friendship—without judgment.
Inpatient New York alcohol rehabs and drug rehabs require that you live at the treatment facility for a certain time. Depending on your program, this period could be either 30 days or up to 90 days. In some cases, it could take longer if your treatment team feels that it’s necessary.
Upon arrival at your inpatient treatment facility, you can expect to fill out some intake paperwork and have your belongings searched to ensure you’re not trying to enter into the program with any illicit substances, alcohol, or contraband. From there, you’ll receive a professional evaluation to assess the following:
- Your substance use patterns and history
- Your family’s substance use history
- Your mental and physical health
- Any previous experiences with substance withdrawal
- Any previous experiences with treatment
The information gathered from your evaluation is then used to create an individualized treatment plan for your specific needs and substance use disorder. This treatment plan will undergo continuous evaluations to see what’s working and what isn’t to help your progress.
Inpatient treatment plans typically involve different types of therapies and treatment methods, including:
- Group therapy
- Family counseling
- Behavioral therapy
- Talk therapy
- Relapse prevention classes
- Drug education classes
- Peer support meetings
- Medication-assisted treatment or medication maintenance treatment
- Aftercare planning
It’s also very common for inpatient programs to offer exploratory activities, such as creative arts classes, equine therapy, yoga or fitness classes, and so on. It all depends on the facility’s philosophy regarding substance use recovery.
Dual Diagnosis Treatment
Most people with a substance use disorder have a co-occurring mental health disorder, such as major depressive disorder, bipolar disorder, and posttraumatic stress disorder (PTSD). Co-occurring disorders are known as a “dual diagnosis” and require specialized treatment to address the unique characteristics of each underlying mental health disorder.
Substance use and mental health disorders are very complex and often go hand in hand. However, if you receive treatment for one disorder but not the other, it’s likely that you’ll go back to using illicit substances to cope, which is why dual diagnosis treatment is so important.
A drug or alcohol rehab in New York offering dual diagnosis treatment can provide you with a multidisciplinary team so you can get the best care from medical doctors, psychiatrists, psychologists, substance use counselors, and other specialists to ensure you achieve a full recovery.
Online Substance Use Treatment (Telehealth)
With the technology we have today, location is no longer an issue when it comes to receiving high-quality and specialized substance use treatment. Telehealth services are now widespread and are no longer limited to talk therapy. Therefore, if you don’t live near your New York drug rehab of choice or are even out of state, virtual substance use treatment may be a viable option.
It’s especially beneficial for those who have ongoing obligations, such as childcare, work, or a full schedule of classes. It can also be useful for those who are physically disabled and don’t have access to transportation.
Virtual rehab works a lot like regular substance use treatment in that it uses multiple types of therapies and doctor’s appointments. The only difference is that these sessions and meetings are done over video calls from the comfort of your own home. Of course, if you are a candidate for inpatient treatment, virtual drug rehab in New York may not be a good option for you. This is especially true if you need to undergo medical detox.
You’ll also want to check the cost before choosing a telehealth program, as many insurance providers don’t currently cover virtual rehab.
Medications for Opioid and Alcohol Addiction
Certain substance use treatments in New York drug or alcohol rehabs may require medication, also known as medication-assisted treatment (MAT).5 The medications used are FDA approved and typically include the following:5
Acamprosate: An alcohol addiction medication that reduces cravings and post-acute withdrawal symptoms like insomnia and anxiety
Disulfiram (Antabuse): Drinking alcohol while taking this medication causes unwanted symptoms that mimic a severe hangover. This helps reduce the craving to drink.
Naltrexone (Revia/Vivitrol): An alcohol and opioid addiction treatment medication that acts as an opioid antagonist by binding to receptors in the brain and blocking the desirable effects of alcohol and opioids, making them less rewarding.
Methadone: An opioid addiction medication that acts as an opioid agonist to reduce withdrawal symptoms and cravings without producing the rewarding effects.
Buprenorphine (Buprenex/Butrans): An opioid addiction medication that is a partial opioid agonist that alleviates cravings and withdrawal without the rewarding effects.
Buprenorphine/Naloxone (Suboxone, Zubsolv): An opioid addiction medication that’s a combination of buprenorphine for alleviating cravings and withdrawal.
If you have a co-occurring mental health disorder, you’ll likely also receive prescriptions for mental health medications, such as antidepressants or mood stabilizers.
Drug and Alcohol Laws in New York
Substance use disorders are heavily stigmatized in the eyes of society and the law. This stigma often prevents individuals struggling with substance use from getting help. However, the state of New York is working hard to lift that stigma by implementing laws that make it safer for these individuals to get help.
New York State’s 911 Good Samaritan Law: The 911 Good Samaritan Law exists in several states, including New York. This law empowers people to save others’ lives by allowing them to call 911 to report a potential overdose without facing any repercussions themselves. This law also protects individuals who have taken illicit substances and call 911 if they need medical attention.
This law does not, however, protect individuals with an A1 felony of controlled substances, with the intent to sell, who have open warrants out for their arrest or violate parole. It’s only meant to protect the individuals seeking help for themselves or someone else, including individuals possessing controlled substances below eight ounces, those drinking underage, or those sharing illicit substances.6
New York’s 5 Overdose Prevention Bills: To reduce the number of overdoses across the state and encourage more individuals to seek help for substance use disorders, the governor of New York recently signed five bills into action: S.911/A.2354, S.1795/A.533, S.2523/A.868, S.6044/A.128, and S.7228/A.5511.7
Each bill is designed to decriminalize individuals with incidence regarding their substance use disorders as well as provide accessible, equal, and quality care for all. For example, Legislation S.7228/A.5511 encourages recognition of the term “substance use” rather than “substance abuse” to encourage judges to order individual treatment instead of incarceration for nonviolent crimes.7
New York Employee Protections for Addiction Treatment: In New York, substance use disorders are considered a disability. Therefore, employees with substance use disorders get protection under the Americans with Disabilities Act (ADA). This means that they cannot be discriminated against or fired for their substance use disorder. However, the ADA does not protect those who use substances during working hours, which is grounds for disciplinary action up to the employer’s discretion.
However, the ADA does not protect those who use substances during working hours, which is grounds for disciplinary action up to the employer’s discretion.
How to Choose the Best New York Rehab Near Me
If you’re searching for drug rehabs or alcohol rehabs in New York, the most important thing to remember is that not every facility will suit your needs. Therefore, you’ll need to think hard about your needs, situation, and financial circumstances.
Here are a few things to consider when browsing through your options:
- Accreditation: When a facility is accredited, that means it went through a rigorous process to confirm it meets high standards for addiction treatment. Selecting an accredited addiction treatment program is an excellent way to ensure that the facility, its professionals, and every member of its staff are dedicated to the highest standards of care.
- Treatment philosophy: Each rehab center has a different philosophy or approach to how they help people recover and heal. Their treatment philosophy should resonate with you.
- Environment: Are you trying to recover somewhere more peaceful, like the mountains, or do you prefer a more cosmopolitan area? You’ll want to choose the environment that makes you feel most at peace.
- Type of treatment: Are you looking for an inpatient or outpatient program? This will depend on your level of substance use and dependency and your regular obligations.
- Cost: When choosing a New York alcohol and drug rehab, the cost will be an important factor. Remember, there are affordable options out there if you don’t have insurance, but they may also not have everything you need—so you may need to make some compromises.
- Amenities: The extras may be the last thing on your mind, but it’s good to look at what each facility offers, such as private rooms, pools, spa treatments, and other features that can make your stay more comfortable.
- Visitor policy: If having visitors such as family or close friends is essential to you, you’ll want to check out the visitor policies for each facility.
- Peer support: Most New York drug and alcohol rehabs offer a combination of different therapies, including peer support. Peer support is an essential tool for recovery, so make sure the facility you choose offers peer support group meetings.
There are tons of facilities to choose from in New York, which can make finding the right program a little overwhelming. If you need assistance narrowing down your search or aren’t sure where to start, we’re here to help. Call us via our free and confidential helpline at 800-926-9037 (Who Answers?) to speak with a treatment support specialist. We’re available around the clock for your convenience.
- New York State Department of Health. (2015). Priority Area: Mental Health/Substance Abuse – The Burden of Substance Abuse.
- Executive Office of the President of the United States. (2009). New York Drug Control Update.
- National Institute on Drug Abuse. (2018). New York: Opioid-Involved Deaths and Related Harms.
- Findtreatment.gov. (n.d.). Results: New York State
- Chanell Baylor. (2021). Medication-Assisted Treatment (MAT) | SAMHSA. Substance Abuse and Mental Health Services Administration.
- New York State Department of Health. (n.d). New York State’s 911 Good Samaritan Law Protects YOU
- Governor Hochul Signs Legislation Package to Combat Opioid Crisis. (n.d.). governor.ny.gov.